SNF Claims Editing for 32403 - Part A

Home MAC Provider Medicare Areas Claims Part A

SNF inpatient claims that are RTP d with reason code 32403 are due to incorrect HIPPS RUG codes. Either the HIPPS code is invalid or the RUG code is listed in the HCPC column with the assessment code in the modifier field. The entire HIPPS RUG code should be listed in the HCPC column of the claim. For a list of valid HIPPS and RUG codes see http://www.cms.hhs.gov/manuals/
downloads/clm104c06.pdf
adobe portable format, CHAPTER 6, SECTION 30.1

Page Last Updated: Thursday, 13-Nov-2008 09:03:44 CST